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Changes in diet quality and its association with students’ mental state during two COVID-19 lockdowns in Croatia
Background: The COVID-19 pandemic has left substantial consequences on the mental health of the student population, primarily through an increase in the symptoms of acute stress and anxiety. Aim: This study evaluated diet quality and its association with mental state among Croatian students during the spring and winter COVID-19 lockdowns in 2020. Methods: Data were collected using an anonymous online self-reported questionnaire taken on two occasions. During the spring lockdown (from May 18 to June 7, 2020) and the winter lockdown (from December 14–22, 2020), 751 and 1188 students completed the questionnaire, respectively. Diet quality was determined using the pro-healthy diet index (pHDI) and non-healthy diet index (nHDI). Results: Although to the greatest extent associated with increased white meat, fish, and legumes intake, an increase in pHDI was also linked to increased consumption of water and sweets and decreased intake of processed meat products and nuts. Increased nHDI was mainly due to increased intake of processed meat products, alcohol, and sweets. Moreover, diet quality was higher during the lockdowns than in the periods before. However, diet quality increased to a lesser extent during the winter lockdown and was associated with a poorer mental state, shown as type D (Distressed) personality. Type D personality positively correlated with nHDI and sweets intake but negatively with pHDI, fruit, and vegetable consumption. Conclusion: These results indicate the need to alleviate further students’ diet quality and mental state impairment. Also, further investigation of the association between diet quality and mental state should be provided.
Self-esteem differentiates the dietary behaviours and adipose tissue distribution in women with menstrual bleeding disorders - pilot study
Menstrual bleeding disorders (MBDs) are multifaceted issues affecting women’s health. Understanding their causes and impacts is vital for management and treatment. MBDs can affect women’s self-esteem (SE), creating a cycle of physical and emotional challenges. Women may resort to unhealthy behaviours; therefore, we raised the question of whether MBD women’s self-esteem differs in dietary behaviours, consequently leading to obesity. This cross-sectional study investigated the relationship between SE, dietary behaviours and body fat (BF) distribution in 63 19–35 y MBD women. It was conducted on two BMI and age-matched groups that differ by android fat content. Rosenberg’s SE questionnaire and Food Frequency Questionnaire were used. BF distribution was measured by dual-energy-X-ray-absorptiometry (DXA), and the android-to-gynoid fat ratio was calculated. We revealed the following determinants of higher android-to-gynoid fat distribution: medium or high self-esteem (OR: 3.4, 95%CI: 1.0; 10.8), daily milk products frequency intake (OR: 3.3, 95%CI: 1.1; 10.3). The level of self-esteem could affect dietary behaviours. Women with higher android fat distribution tend to consume dairy products more frequently but with less meat. Women with lower android fat distribution had lower SE. The issues raised in this project affect a complex area that requires further research in a larger group of participants.